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The College of Saint Rose
432 Western Avenue
Albany New York 12203
1-800-637-8556

Alumni Information

Our mission is to remind and reacquaint, introduce and congratulate. We look forward to hearing from you.

My Alumni Information

	*Fields Marked with an are Required Fileds**

First Name:	*
Maiden Name:
Last Name:	*
Nickname:

Home Address:	*
City:	*
State:	Zip: *

Home Telephone: (###)###-####
E-mail:
Seasonal Address (to/from dates)

My Education

Saint Rose Degree/Major:	*
Advanced College(s)/Degree(s)/Major(s)/Year(s)

My Employment

Occupation/Title:
Company /Organization Name:
Business Address:
City:
State:	Zip:

Business Telephone: (###)###-####

Status of Employment:	Full Time Part Time
Are you Retired?	Yes No

Professional Achievements: (Awards/publications/community service)

	OK to Publish Employment Information in Saint Rose Magazine

My Family

Marital Status:	Single Married Divorced Widowed Domestic Partner
Date of Marital Change:

Spouse/Domestic Partner's Full Name:
Spouse/ Partner's Employment:
Is Spouse/ Partner a Saint Rose Graduate?	Yes No

Children's Name(s) & Birthdate(s):
Grandchildren's Name(s) & Birthdate(s):

List relatives who are alumna/us of Saint Rose? Name and Year of Graduation

	OK to Publish Family Information in Saint Rose Magazine

* If you are interested in any items below please check the appropriate box to the right.

	Serving as a panelist or featured speaker on campus.
	Being featured in a future Saint Rose publication.
	Please keep my email address confidential, but email me important College news.